Specialised nursing Essay Example | Topics and Well Written Essays - 3000 words

Specialised nursing - Essay Example His care management needs will be complicated his diagnoses of autism, depression, and gastric cancer. The delivery of care will follow mainly the care pathway of mental health nursing with inclusion of elements in palliative care for gastric cancer. Evidence: People with autistic disorder have significantly increased rates of depression and bipolar affective disorder. Diagnosis of psychiatric disorders is more easily made in those who are verbal than in those who are severely handicapped, and therefore diagnosis, monitoring, and communication would be very challenging with John while conducting his care (Ghaziuddin, Ghaziuddin, and Greden, 2002, 299-306). Most patients with gastric cancer present in an advanced state. It has been found that palliative surgery is the only possible way. He is facing death without knowing its implications. From the nursing perspective, one of the main reasons for measuring the patient satisfaction is to provide information to facilitate care, which is impossible in this patient. For autistic patients admission to a hospital may be detrimental due to fear of exposure. The care management must consider nursing him in a special quiet room near the nursing station with frequent monitoring (Aylott, 200 4, 828-833). Palliation is an emerging model of care that emphasizes the supportive role of healthcare practitioners throughout illness with the main strategy being symptomatic control with the care being holistic so that suffering can be relieved at all stages of the illness (Dell et al., 2008, 177-182). Autistic persons with depression often show an increase in social withdrawal. When depression sets in, the level of isolation and withdrawal gradually increases. The problem may arise in the area of communication, which is an essential part of holistic care. It is important to note that the patients with autism are difficult to manage, and the care planning and management becomes more difficult in the given situation. Due only to his autism, he can become anxious and agitated when his routine environment changes. His admission to the hospital creates such a situation, since hospital is an unfamiliar environment for him. Special care must be taken to ensure an optimum care environme nt (Aylott, 2001, 166-172). Gastric Cancer: The main feature of a cancer cell is loss of regulation of the process of cellular multiplication. The growth of normal cells is rigidly regulated. In cancer cells, however, this growth control mechanism is lost or altered, causing cancer cells to divide continuously and without regard for the tissue requirements. As malignant cells replicate they grow in an irregular pattern, infiltrating surrounding tissue. This can result in infiltration of the lymphatics and/or blood vessels. By gaining access to these vessels malignant cells can be carried to other sites within the patient's body, where they will replicate and grow. To ensure that these malignant cells receive nourishment to thrive, angiogenesis occurs, which is the formation of new blood vessels. If left untreated, these cells will result in localized recurrence of the cancer and eventual spread. The spread of the malignant cells extends outward from the original tumour (Gilbey et al., 2004, 903-911). Surgery is the main modality of treatment of gastric cancer with very poor survival (Balmain, 2001, 77-82). The development of an individualized treatment plan for a patient must take